{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:21:26Z","timestamp":1788182486737,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Dengue fever is a mosquito-borne viral infection that spreads through\n                    <jats:italic toggle=\"yes\">Aedes aegypti<\/jats:italic>\n                    mosquito and is a prevalent endemic disease in tropical countries such as India. Infecting approximately 50 to 100 million people annually in more than 100 countries, dengue as a disease is considered as a great public health challenge. Classically presenting symptoms include fever, arthralgia, headache, myalgia, and rash, but the incidence of neurological manifestations has recently been increasing due to changes in the virological characteristics of the dengue virus. Still, cranial mononeuropathy, involving the sixth cranial nerve, causing isolated lateral rectus paralysis is extremely rare. This case report describes a rare association between dengue viral fever causing unilateral lateral rectus palsy in a 31-year-old male with the presence of binocular diplopia in extreme right gaze. The patient was managed medically, and full ocular recovery was observed. This case highlights the importance to take dengue viral infection in consideration as a differential diagnosis in patients presenting with fever along with isolated sixth nerve palsy and discusses its diagnostic and therapeutic approach.\n                  <\/jats:p>","DOI":"10.4103\/aam.aam_366_25","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:00:52Z","timestamp":1784880052000},"page":"1321-1324","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Isolated Lateral Rectus Palsy: A Case Report on Rare Neurological Manifestation of Dengue Viral Fever"],"prefix":"10.4103","volume":"25","author":[{"given":"Megha R.","family":"Kotecha","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Manade","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahan","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Sangwan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"R1-20260831","doi-asserted-by":"crossref","first-page":"e3241","DOI":"10.1371\/journal.pntd.0003241","article-title":"Epidemiological trends of dengue disease in Thailand (2000-2011): A systematic literature review","volume":"8","author":"Limkittikul","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"R2-20260831","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/0972-2327.91946","article-title":"Neurological complications of dengue fever: Experience from a tertiary center of North India","volume":"14","author":"Verma","year":"2011","journal-title":"Ann Indian Acad Neurol"},{"key":"R3-20260831","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/S1474-4422(13)70150-9","article-title":"Neurological complications of dengue virus infection","volume":"12","author":"Carod-Artal","year":"2013","journal-title":"Lancet Neurol"},{"key":"R4-20260831","doi-asserted-by":"crossref","first-page":"e0184559","DOI":"10.1371\/journal.pone.0184559","article-title":"Adherence to clinical practice guidelines (CPG) management of dengue infection in adults (revised 2nd edition)","volume":"12","author":"Abd Rahman","year":"2017","journal-title":"PLoS One"},{"key":"R5-20260831","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/S1474-4422(13)70150-9","article-title":"Neurological complications of dengue virus infection","volume":"12","author":"Carod-Artal","year":"2013","journal-title":"The Lancet Neurology."},{"key":"R6-20260831","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.jns.2007.09.040","article-title":"Involvement of the central nervous system in patients with dengue virus infection","volume":"267","author":"Domingues","year":"2008","journal-title":"J Neurol Sci"},{"key":"R7-20260831","doi-asserted-by":"crossref","first-page":"741","DOI":"10.3129\/i06-069","article-title":"Ocular manifestations of dengue fever in an East Indian epidemic","volume":"41","author":"Kapoor","year":"2006","journal-title":"Can J Ophthalmol"},{"key":"R8-20260831","first-page":"95","article-title":"Neurological manifestations of dengue viral infection","volume":"5","author":"Carod-Artal","year":"2014","journal-title":"Res Rep Trop Med"},{"key":"R9-20260831","first-page":"233","article-title":"Neurological complications arising from dengue virus infection","volume":"39","author":"Palma-da","year":"2004","journal-title":"Rev Neurol"},{"key":"R10-20260831","doi-asserted-by":"crossref","first-page":"3154","DOI":"10.1097\/MS9.0000000000001988","article-title":"Unilateral lateral rectus palsy following dengue: A case report","volume":"86","author":"Niraula","year":"2024","journal-title":"Ann Med Surg (Lond)"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_366_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:01:03Z","timestamp":1788181263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_366_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_366_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]},"assertion":[{"value":"2025-07-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}